Active NPI
Emerald M Thaw, MD
- Allergy Physician
- Brooklyn, NY
National Provider Identifier
1992780316
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy Physician
- License
- 182819
- Practice address
- 5908 5TH Ave
Brooklyn, NY 11220-4071 - Phone
- (718) 439-8488
- Fax
- (718) 492-9643
- NPI assigned
- Dec 8, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy Physician | 207KA0200X | 182819 | NY | Primary |
| Allergy Physician | 207KA0200X | MA53549 | NJ |
Addresses
Primary practice location
5908 5TH Ave
Brooklyn, NY 11220-4071
Mailing address
30 Ridings Pkwy
Princeton, NJ 08540-8639
Phone (908) 431-5868
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P2645068 | Other | NJ | OXFORD |
| 01392410 | Medicaid | NY | |
| 5271429 | Other | NY | CIGNA |
| 8827907 | Medicaid | NJ | |
| 267340201 | Other | NY | HEALTH PLUS |
| P2117240 | Other | NY | OXFORD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA53549 | NJ | MD | Allergy Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sudhir M Parikh M D P a | Past | Accepting new patients | |
| The National Asthma & Allergy Center | Allergy | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Allergy Physician
- Brooklyn, NY
- NPI 1265643522
-
- Allergy & Immunology Physician
- Highland Park, NJ
- NPI 1750309589
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134000000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1392768000000",
"number": "1992780316",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 RIDINGS PKWY",
"city": "PRINCETON",
"state": "NJ",
"postal_code": "085408639",
"telephone_number": "908-431-5868",
"fax_number": "908-431-5868"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5908 5TH AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112204071",
"telephone_number": "718-439-8488",
"fax_number": "718-492-9643"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THAW",
"first_name": "EMERALD",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-08",
"last_updated": "2014-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "207KA0200X",
"taxonomy_group": "",
"desc": "Allergy & Immunology, Allergy",
"state": "NY",
"license": "182819",
"primary": true
},
{
"code": "207KA0200X",
"taxonomy_group": "",
"desc": "Allergy & Immunology, Allergy",
"state": "NJ",
"license": "MA53549",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P2645068",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01392410",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "5271429",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8827907",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PLUS",
"identifier": "267340201",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P2117240",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.